State Licensed Medical Director

Job Summary

A company is looking for a Medical Director - Cardiology - Remote.

Key Responsibilities

• Conduct coverage reviews and render coverage determinations based on member plan benefits
• Document clinical review findings and engage in peer-to-peer discussions with providers
• Collaborate with network and non-network providers to ensure accurate benefit determinations

Required Qualifications

• M.D. or D.O
• Board certification in Cardiology
• Active unrestricted license to practice medicine
• 5+ years of clinical practice experience post-residency
• Sound understanding of Evidence Based Medicine (EBM)